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HomeMy WebLinkAbout2A-2H Amato Drive (11)FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: q NO. I ) TOWN OF SOUTH WINDSOR EST.COST: B S.Ue7 BLDG. PERMIT NO,1540 SULLIVAN AVENUE FEE,_ SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 0 - $1,000 - $10.00 1000 or fraction LOCATION OF BUILDINGrs`a thereof - $10.00 t1/a! . © i??gtn . OWNER V ADDRESS TOWN PHONE NO. HVAC CONTRACTOR ADD SS TOWN PHONE NO. TYPE OF SYSTEM: HEATING A _ TYPE OF BUILDING: RESIDENTIAL A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC_,,- WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM GAS IN-PUT ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING /EQ'UIP/MENT/ (INCLUDING MAKE & MODEL NO.) : GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN (BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): TONNAGE COOLING CAPACITY (BTUH) IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT) : TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM) PLAN MUST ACCOMPANY APPLICATION) The undersigned hereby applies for a permit to perform the following work and is to comply with all local ordinances and State of Conn. Building Codes in the performance of such work. FURTHER DESCRIPTION OF WORK: STATE LICENSE - NAME & TYPE #DATE SIGNATURE OF APP T APPROVED DATE I as B - R CALCULATION SHEET 1603 (Modern Method)Copyrlghl 1971 by The Hydionict Institute OWNER ADDRESS DESIGN TEMPERATURE OIFFERENCE F. DATE COL. A COLS COL.C COL.O COL.E COL.F COL.G 1 ROOM cc p N L W H L W H L W H L W H L W Oatlgn Water Temp. 2 ROOM DIMENSIONS, FT.U STUN per Pool or 3 LENGTH EXPOSED WALLS,FT. Radiation Selected e WINDOW AND OUTSIDE DOOR AREA IL BTUH BTUH BTU% STUN STUN 5 WALL CONSTRUCTION ROOM LIN.FT.OF Table 9,Line 3 x H) TOTALS RADIATION 6 TYPE Of GLASS FROM LINE 12 SELECTED Bottom of table used for Line 5) 7 CEILING CONSTRUCTION C Table 9, L it W) g FLOOR CONSTRUCTIONt O_ Table 9, L x W or Lin. F t) E 9 COLD PARTITION CONSTRUCTION F IT able 9,L a Hl G 10 1 Wall(With Openings) 2 Wells(With Openings) X 1 3 Wells IWrih Openings) or Ent.Hall f. 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K C L.A - -_ COL. COL.H COL.1 COL_J COL, K COL.L TOTAL STUM TOTAL 1 ROOM OF BUILDING RADIATION AT SELECTED p H L W H L W H L W HF—L W H L W DESIGN TEMP.• 2 ROOM DIMENSIONS. FT f' DIFFERENCE U 3 LENGTH EXPOSED WALLS. FT d WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION INCREASE BATHROOM Table 9, Line 3 x HI TOTAL 20% 6 TYPE OF GLASS Bottom of table used for Line 51 7 CEILING CONSTRUCTION IFOR CONCRETE FLOOR ON GROUND OR FILL AT Table 9. L x W) GRADE LEVEL.USE LINEAR S FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE iTable9.L x W or Lin Ft) 9 COLD PARTITION CONSTRUCTION ITable 9.L x HI 10 c I Well(Wilk Openingsl O 2 Whit tWith Open'ngel o xeJ 3 Wells(With Openings) or Ent Hall r 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE FORM I503 This form Is available from The Hydronlcs Institute 36 Russo Place,Berkeley Heights,N J 07922 INSPECTOR DATE TIME TIME LOCATION INSPECTION: CODE: ESULT(D/A) : BUILDING: ELECTRICAL: PLUMBING: alb-f 1+ Js r HVAC: Is 5 A ! OTHER: l b0